FNP practice test 1 (AANPCB) QUESTIONS AND ANSWERS |
LATEST UPDATE
Terms in this set (105)
Which is contraindicated in influenza vaccine
- asthma
- sickle cell
- <5months
- American Indian heritage
Which of the following associated with thyroid Myxedema
hypofunction
a.Graves skin changes (thickened)
b.Eye disorder Tx: High dose of thyroid hormone
c.Thyroid storm
d. Myxedema
14 y/o boy with feeling of being bloated, upset stomach, Celiac disease
and loose stools for months, problems gaining
weight and is short for his age. Symptoms worse avoid gluten; causes malabsorption
after eating crackers. No blood in stool. What condition
is most likely to occur? IgA and IgG elevated
67 y/o female with 3-day old cat bite thats swollen, red Amoxicillin
and painful to touch. There is Purulent Discharge at site
of bite. Which medication do you prescribe? symptoms assoc.with Pasteurella multocida which is anaerobic gram neg
14 y/o girl with short stature, swollen hands and feet and Karyotype to find second chromosome
webbed neck. Found to be at Tanner stage 1....
tanner 1 prepuberty
What test do you order to confirm signs suggest Turner syndrome
,67 y/o woman with 30 pack-year history of smoking at COPD
annual physical. Complains of being short of breathe (Emphysema and chronic bronchitis)
easily and fatigued. Exam reveals diminished breath
sounds, hyperresonace, and fatigued muscles. CBC dyspnea, chronic cough, sputum production
results showed Hct elevated and pulmonary function test Lungs are hyper-inflated, diminished BS
showed increased total lung capacity. What diagnosis Creates High hct from hypoxia
is most likely
Elderly male at routine exam, shows multiple rough Senile actinic keratosis
scaly patches on forearm and face and neck and back of
ears. What diagnosis is most likely most common precancerous lesion in small cell carcinoma
develops from years of sun exposure
You are assessing a 63 y/o male with history of IV-drug Hep C
abuse since young adulthood. Presents with fatigue and
nausea. What screening is recommended?
You're performing an assessment of 6 month old. What Palmar Grasps of object
motor skills are expected ?
You (NP) are managing a stable-middle aged male with (QIV) Quadrivalent innactive flu vaccine
emphysema. What annual intervention is recommended -O
besides stopping.
During sports exam, 14 y/o you notice a split of s2 Normal as long as it disappears after expiration
component of the heart during deep inspiration.
Disappears on expiration. HR regular, no murmurs.
what is this likely of
Which finding would you find in 13y/o M with Cushing's Delayed puberty
syndrome
Which life-style is associated with secondary Smoking
polycythemia Vera
Which test confirms prostate cancer Tissue biopsy
60 F truck driver with worsening lower back pain over few Order MRI
days. Numbness in perineal area. Sharp and burning and
points to left buttock.
Pain started mid buttock of left leg and went to lateral
side toward top of foot. Ankle and knee jerk reflex is
+2 and on affected leg +1
what test do you consider?
When assessing a pt using Snellen chart, the NP(you Patient can see at 20 feet what a person can see at 80
hehe) reports visual acuity 80/20. What dat mean?
top:distance pt can see in ft
bottom: distance that normal vision can read the same line
, Obese 28y/female at doc seen with Arachne, hirsutism CHD, Type 2 DM, metabolic syndrome
and oligomenorrhea. Blood draw shows free androgen
index 9.8 with diagnosis of poly cystic ovarian syndrome
which puts patient at risk for what ?
Middle age man with HTN with acute onset of fever, bacterial pneumonia
chills and productive cough and rusty colored
sputum. Sharp pain on left side of back and chest when Typically comes on quickly sometime with yellow/brown sputum
coughing. Temp 102 pulse is 100 and Bp 130/80
gold standard Dx: Chest x-ray that shows infiltrates and lobar consolidation
urinalysis show no leukocytes,nitrite, or blood determine bacteria in urine to determine which Abx
You palpate URQ while pt talked deep breath what is this Murphy sign
test
Elderly fair skinned male with lesion on nose, Basal cell carcinoma
translucent Paulette with central ulceration
telangiectasis, and rolled borders
Cauliflower- like growth with fouls smelling discharge of Cholesteatoma
left ear in 8yo m. Tempanic membrane not visible nor
ossicles.
HX: chroninc otitis media
An elderly patient presents with new onset of sleepiness, Synthroid (low dose)
weight gain of 10 pounds in a month,Xeroxis, and
anomia. Lab values: T4-6.3mU/L and score 28 on mini- Pt. showing signs of hypothyroidism
mental state exam (MME) T4 is normal : (5-13)
what medication does nurse prescribe TSH is normal: (0.4-4.0)
mental state exam (25-30)
-Levothyroxine (synthroid)
- propylthiouracil (PTU) - Memantine (namenda): for dementia
- memantine (namenda) (namenda sounds like dementia ?)
- carbidopa-levodopa(sinemet) - Propylthiouracil: for hyperthyroidism
- Carbidopa-levodopa(sinemet): for Parkinson’s
…..( got allotta P’s in that Bih and Parkinson’s gotta P)
Which of the following SSRIS is most likely cause of Elavil
erectile dysfunction
- paxil (Paroxetine)
- escitalopram (Lexapro)
-venlafaxine (Effexor)
- Amitriptyline (elavil)
74 y/o male presents with acute-onset unilateral Amaurosis fugax ( transient blindness)
headache with a reddened and indurated temple. The
patient is at risk for: pt experiencing temporal arthritis which causes unilateral temple headache
- jaw claudication jaw claudication if artery was occluded
- amaurosis fugax the others elevate with inflammatory process
- elevated erythrocyte sedimentation
- elevated C-reactive protein
LATEST UPDATE
Terms in this set (105)
Which is contraindicated in influenza vaccine
- asthma
- sickle cell
- <5months
- American Indian heritage
Which of the following associated with thyroid Myxedema
hypofunction
a.Graves skin changes (thickened)
b.Eye disorder Tx: High dose of thyroid hormone
c.Thyroid storm
d. Myxedema
14 y/o boy with feeling of being bloated, upset stomach, Celiac disease
and loose stools for months, problems gaining
weight and is short for his age. Symptoms worse avoid gluten; causes malabsorption
after eating crackers. No blood in stool. What condition
is most likely to occur? IgA and IgG elevated
67 y/o female with 3-day old cat bite thats swollen, red Amoxicillin
and painful to touch. There is Purulent Discharge at site
of bite. Which medication do you prescribe? symptoms assoc.with Pasteurella multocida which is anaerobic gram neg
14 y/o girl with short stature, swollen hands and feet and Karyotype to find second chromosome
webbed neck. Found to be at Tanner stage 1....
tanner 1 prepuberty
What test do you order to confirm signs suggest Turner syndrome
,67 y/o woman with 30 pack-year history of smoking at COPD
annual physical. Complains of being short of breathe (Emphysema and chronic bronchitis)
easily and fatigued. Exam reveals diminished breath
sounds, hyperresonace, and fatigued muscles. CBC dyspnea, chronic cough, sputum production
results showed Hct elevated and pulmonary function test Lungs are hyper-inflated, diminished BS
showed increased total lung capacity. What diagnosis Creates High hct from hypoxia
is most likely
Elderly male at routine exam, shows multiple rough Senile actinic keratosis
scaly patches on forearm and face and neck and back of
ears. What diagnosis is most likely most common precancerous lesion in small cell carcinoma
develops from years of sun exposure
You are assessing a 63 y/o male with history of IV-drug Hep C
abuse since young adulthood. Presents with fatigue and
nausea. What screening is recommended?
You're performing an assessment of 6 month old. What Palmar Grasps of object
motor skills are expected ?
You (NP) are managing a stable-middle aged male with (QIV) Quadrivalent innactive flu vaccine
emphysema. What annual intervention is recommended -O
besides stopping.
During sports exam, 14 y/o you notice a split of s2 Normal as long as it disappears after expiration
component of the heart during deep inspiration.
Disappears on expiration. HR regular, no murmurs.
what is this likely of
Which finding would you find in 13y/o M with Cushing's Delayed puberty
syndrome
Which life-style is associated with secondary Smoking
polycythemia Vera
Which test confirms prostate cancer Tissue biopsy
60 F truck driver with worsening lower back pain over few Order MRI
days. Numbness in perineal area. Sharp and burning and
points to left buttock.
Pain started mid buttock of left leg and went to lateral
side toward top of foot. Ankle and knee jerk reflex is
+2 and on affected leg +1
what test do you consider?
When assessing a pt using Snellen chart, the NP(you Patient can see at 20 feet what a person can see at 80
hehe) reports visual acuity 80/20. What dat mean?
top:distance pt can see in ft
bottom: distance that normal vision can read the same line
, Obese 28y/female at doc seen with Arachne, hirsutism CHD, Type 2 DM, metabolic syndrome
and oligomenorrhea. Blood draw shows free androgen
index 9.8 with diagnosis of poly cystic ovarian syndrome
which puts patient at risk for what ?
Middle age man with HTN with acute onset of fever, bacterial pneumonia
chills and productive cough and rusty colored
sputum. Sharp pain on left side of back and chest when Typically comes on quickly sometime with yellow/brown sputum
coughing. Temp 102 pulse is 100 and Bp 130/80
gold standard Dx: Chest x-ray that shows infiltrates and lobar consolidation
urinalysis show no leukocytes,nitrite, or blood determine bacteria in urine to determine which Abx
You palpate URQ while pt talked deep breath what is this Murphy sign
test
Elderly fair skinned male with lesion on nose, Basal cell carcinoma
translucent Paulette with central ulceration
telangiectasis, and rolled borders
Cauliflower- like growth with fouls smelling discharge of Cholesteatoma
left ear in 8yo m. Tempanic membrane not visible nor
ossicles.
HX: chroninc otitis media
An elderly patient presents with new onset of sleepiness, Synthroid (low dose)
weight gain of 10 pounds in a month,Xeroxis, and
anomia. Lab values: T4-6.3mU/L and score 28 on mini- Pt. showing signs of hypothyroidism
mental state exam (MME) T4 is normal : (5-13)
what medication does nurse prescribe TSH is normal: (0.4-4.0)
mental state exam (25-30)
-Levothyroxine (synthroid)
- propylthiouracil (PTU) - Memantine (namenda): for dementia
- memantine (namenda) (namenda sounds like dementia ?)
- carbidopa-levodopa(sinemet) - Propylthiouracil: for hyperthyroidism
- Carbidopa-levodopa(sinemet): for Parkinson’s
…..( got allotta P’s in that Bih and Parkinson’s gotta P)
Which of the following SSRIS is most likely cause of Elavil
erectile dysfunction
- paxil (Paroxetine)
- escitalopram (Lexapro)
-venlafaxine (Effexor)
- Amitriptyline (elavil)
74 y/o male presents with acute-onset unilateral Amaurosis fugax ( transient blindness)
headache with a reddened and indurated temple. The
patient is at risk for: pt experiencing temporal arthritis which causes unilateral temple headache
- jaw claudication jaw claudication if artery was occluded
- amaurosis fugax the others elevate with inflammatory process
- elevated erythrocyte sedimentation
- elevated C-reactive protein
